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Organization

VANTAGE EARLY INTERVENTION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GUY JOSEPH VINETTE II MA CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(716) 550-0083
Entity
Organization

Contact information

Practice address
421 BARONY ST STE 3, MONCKS CORNER, SC 29461-3145
(843) 790-4093
(843) 501-2297
Mailing address
421 BARONY ST STE 3, MONCKS CORNER, SC 29461-3145
(843) 790-4093
(843) 501-2297

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
08/15/2024
Last updated
08/15/2024
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